Part B News Features
Question: I recently read about a third-party biller who was charged with health care fraud and eventually entered a plea agreement — but the practice he worked for was not charged. I thought fr... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
The conversion factor shave of -2.8% will have a fee-slashing effect on many services in 2025. Due to relative value unit (RVU) adjustments, some codes will net a fee increase next year. But all of ... More
Question: I recently read about a third-party biller who was charged with health care fraud and eventually entered a plea agreement — but the practice he worked for was not charged. I thought fr... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
The conversion factor shave of -2.8% will have a fee-slashing effect on many services in 2025. Due to relative value unit (RVU) adjustments, some codes will net a fee increase next year. But all of ... More
Tools
Prepare members of your treatment and coding teams for changes to the diagnosis code set that will go into effect Oct. 1, 2024. Download and share the Excel file that contains five spreadsheets.
Make sure your physicians and qualified health care professionals (QHP) are ready for their crucial role in reporting G0136 (Administration of a standardized, evidence-based Social Determinants of Health [SDOH] Risk Assessment tool, 5-15 minutes, not more often than every 6 months).
Benchmark of the Week
The conversion factor shave of -2.8% will have a fee-slashing effect on many services in 2025. Due to relative value unit (RVU) adjustments, some codes will net a fee increase next year. But all of the high-volume codes, as labeled by CMS and shown in the chart below, are on pace for reductions in both non-facility and facility settings.
In the rates for Medicare-payable services codified in the physician fee schedule final rule, losers outpace winners — and the winners aren’t doing so well, either.
Learning Opportunities

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